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Every billing code / Equipment and supplies / Orthotic Devices

HCPCS L4360

Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise

Current codeBelow Knee Orthotic39 hospitals with prices

Description from CMS's HCPCS Level II code file.

What Washington hospitals publish for this code

Medicaid managed care: Rate for an Apple Health managed-care plan. Applies only to members of that plan.

HospitalMedicaid managed care rates (lowest – highest)Cash priceList price (before discounts)
Capital Medical CenterOlympiaFile dated 2026-08-27—$130 – $216$324 – $541
Cascade Valley HospitalArlington$161 – $4784 plans$128 – $187$161 – $234
Deaconess Medical CenterSpokaneFile dated 2026-08-27—$130 – $216$324 – $541
Harborview Medical CenterSeattleFile dated 2026-04-01—$211 – $520$302 – $742
Highline Medical CenterBurienFile dated 2026-02-28—$47.17 – $108$154 – $355
Kadlec Regional Medical CenterRichlandFile dated 2026-04-01—$141 – $616$202 – $880
Mary Bridge Children's HospitalTacomaFile dated 2026-08-27—$130 – $216$324 – $541
MultiCare Auburn Medical CenterAuburnFile dated 2026-08-27—$130 – $216$324 – $541
MultiCare Covington Medical CenterCovingtonFile dated 2026-08-27—$130 – $216$324 – $541
MultiCare Good Samaritan HospitalPuyallupFile dated 2026-08-27—$130 – $216$324 – $541
MultiCare Valley HospitalSpokane ValleyFile dated 2026-08-27—$130 – $216$324 – $541
Olympic Medical CenterPort AngelesFile dated 2026-06-24—$107 – $1,729$134 – $2,161
Prov Sacred HRT Med Ctr & Childs Hosp.SpokaneFile dated 2026-04-01—$304 – $758$434 – $1,084
Providence Centralia HospitalCentraliaFile dated 2026-04-01—$179 – $933$344 – $1,794
Providence Holy Family HospitalSpokaneFile dated 2026-04-01—$304 – $758$434 – $1,084
Providence Mount Carmel HospitalColvilleFile dated 2026-04-01—$286 – $720$408 – $1,028
Providence Regional Medical Center EverettEverettFile dated 2026-04-01—$190 – $1,026$365 – $1,973
Providence St Joseph HospitalChewelahFile dated 2026-04-01—$286 – $720$408 – $1,028
Providence St Mary Medical CenterWalla WallaFile dated 2026-04-01—$181 – $670$258 – $957
Providence St Peter HospitalOlympiaFile dated 2026-04-01—$179 – $933$344 – $1,794
Skagit Valley HospitalMount Vernon—$128 – $187$161 – $234
St Anthony HospitalGig HarborFile dated 2026-02-28—$46.98 – $108$154 – $355
St Clare HospitalLakewoodFile dated 2026-02-28—$44.53 – $102$154 – $355
St Elizabeth HospitalEnumclawFile dated 2026-02-28$43.25 – $1185 plans$54.59 – $125$154 – $355
St Francis Community HospitalFederal WayFile dated 2026-02-28—$48.48 – $111$154 – $355
St Joseph Medical CenterTacomaFile dated 2026-02-28—$51.16 – $117$154 – $355
St Michael Medical CenterSilverdaleFile dated 2026-02-28—$68.18 – $156$154 – $355
Swedish Edmonds HospitalEdmondsFile dated 2026-04-01—$68.04 – $628$142 – $1,308
Swedish IssaquahIssaquahFile dated 2026-04-01—$68.04 – $628$142 – $1,308
Swedish Medical CenterSeattleFile dated 2026-04-01—$68.04 – $628$142 – $1,308
Swedish Medical Center / Cherry HillSeattleFile dated 2026-04-01—$68.04 – $628$142 – $1,308
Tacoma General Allenmore HospitalTacomaFile dated 2026-08-27—$130 – $216$324 – $541
University of Washington Medical CtrSeattleFile dated 2026-04-01—$183 – $696$261 – $995
Yakima Valley MemorialYakimaFile dated 2026-08-27—$76.00 – $216$190 – $541

Lowest and highest amounts each hospital lists for this code during a hospital stay, including lines it lists for both settings or without saying which. A doctor’s fee is shown separately when the hospital lists one with the code. “At least” means plans were counted in more than one group and some may be the same plan. This is one line of a bill; most care brings several.

Medicare (traditional) reference

Only for people on original Medicare. These are CMS’s 2026 amounts. They aren’t what private insurance or cash patients pay.

Equipment fee, Washington
$424 (fee)